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Indications and outcomes for sclera tunnel fixed secondary intraocular lenses: single centre series

Poster Details

First Author: F.Shams UK

Co Author(s):    Z. Koshy                    

Abstract Details


Insertion of sclera fixated posterior chamber intraocular lenses (PCIOL) allows lens implantation in the absence of adequate lens capsule support. We evaluate our experience with a 3 piece IOL fixed through scleral tunnels.


Scleral fixed PCIOLs in a single surgeon series in a teaching hospital. University Hospital Ayr - NHS Ayrshire and Arran, Scotland


Retrospective review of case notes of 13 eyes over a 2-year period (January 2013- February 2015).


Indications for secondary IOL insertion: 3 subluxed crystalline lenses from Marfans syndrome, 5 aphakia secondary to trauma both perforating and blunt, 1 dislocated crystalline lens, 1 aphakia secondary to complicated phacoemulsification surgery, 3 subluxed lens capsular bag complex. 38% of eyes had improved best-corrected visual acuity (BCVA) postoperatively, 30% remained the same and 20% worsened. 3 cases were found to have a mild postoperative PCIOL tilt, which had no visual implications. 2 developed postoperative retinal detachements (RD), which were subsequently fixed. 1 developed a suprachoroidal haemorrahge following post-operative trauma. 1 developed postoperative cystoid macula oedema that resolved with medical management.


Our experience shows that insertion of scleral fixated PCIOLs is a viable method of secondary IOL insertion in multiple scenarios where lens capsular support is lacking. It is recommended that it be done with vitreoretinal back up due to potential complications.

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